Information
-
TS Safety Contact Checklist
-
Observer's Name
-
Task being observed
-
Conducted on
-
INSTRUCTIONS:
Introduce yourself
Tell them you are doing an observation
Tell them No Name No Blame
Find a safe place to stand
Observe for approximately 10 minutes
Provide feedback, including positive feedback
Find out Why they behaved at risk
Finish with summaries of positive behaviour
Ask for suggestions
Body Mechanics
-
Lifting activities as per TS procedure
-
Body positioning demonstrates sound ergonomics
-
Pinch points identified and kept clear of
-
Visual and special awareness demonstrated
-
Ascending/ descending
-
Record any at risk behaviour
PPE
-
Eye and face protection
-
Head protection used and appropriate for task
-
Hand protection used and appropriate for task
-
Fall protection used and appropriate for task
-
Hearing protection
-
Respiratory Protection
-
Body protection
-
Record any at risk behaviour
Job Factors
-
Works proceeding deliberately and safely
-
Clear on site communication system established
-
Plant and equipment used as per manufactures instructions
-
No go zones established and adequate for task
-
Isolations points as per SWMS and customer/industry practice
-
Record any at risk behaviour
Tools and equipment
-
Tool / equipment used appropriately and in good order
-
Correct selection of tool for the job
-
Tool / equipment condition
-
Ladders used appropriate, in good order and in test date
-
Record any at risk behaviour
Housekeeping
-
Waste materials stored, secured and removed from site
-
Site free from trip hazards
-
Hazardous substances managed appropriately. HAZMAT and MSDS available on site
-
Record any at risk behaviour
Feedback and suggestions
-
Positive Feedback
-
Suggestions to make the job safer (employee suggestions)
-
Observer's signature
-
Email completed safety contact to HSEQ Advisor